| Date of birth: | 1965 |
| Unit description: | 5600 West Grande Market Dr; Appleton, WI 54913; (920)997-1480 |
| Unit: | 4 15 |
| Pin number: | 730092 |
| Photo date: | Jun 25, 2010 |
| Inmate status: | ACTIVE COMMUNITY SUPERVISION |
| Booking number: | 00521197 |
| Booking location: | Polk County, WI |
| Statute: | UNKNOWN - IC U |
| County: | OUT-OF-STATE |